| NPI | 1427611466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000025842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904735) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-03-04 |