| NPI | 1376512889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022530) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2025-07-07 |