| NPI | 1699148619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN F1015752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 20828) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2026-05-11 |