| NPI | 1467272112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4034109) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-02-06 |