| NPI | 1477113892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25946) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-05-19 |