| NPI | 1629227608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 38207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902490) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2025-12-19 |