| NPI | 1518771534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38804) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 266340) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 101091) | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-07-22 |