| NPI | 1558007146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F04220419) |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2025-05-30 |