| NPI | 1649853078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 29187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29187) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-02-12 |