| NPI | 1205347226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 22833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 901979) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-07-25 |