| NPI | 1619422136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN21691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000021691) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-03-27 |