| NPI | 1376814095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000014492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14492) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2025-06-26 |