| NPI | 1699234195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000034345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019014) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-06-11 |