| NPI | 1457130882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214893) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-01-14 |