| NPI | 1326284217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-000174) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2025-10-28 |