| NPI | 1285454413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 40218) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-11-25 |