| NPI | 1437874294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017260) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-07-18 |