| NPI | 1548510761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 752732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16872) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2025-07-10 |