| NPI | 1487278529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 41272) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2026-04-29 |