| NPI | 1659839918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25531) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-05-07 |