| NPI | 1497783146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 209610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN07265) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 7265) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2026-05-14 |