| NPI | 1336775261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37567) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903879) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95014243) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-02-10 |