| NPI | 1285814954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 12987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 824031) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2025-04-16 |