| NPI | 1356931950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2876) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2026-08-03 |