| NPI | 1326815622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194782) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2026-02-04 |