| NPI | 1194293894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 25808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000031) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2025-10-06 |