| NPI | 1679341630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 899036) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36596) | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2025-07-28 |