| NPI | 1649915893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185326) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2025-11-17 |