| NPI | 1699799916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000096823) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-02-28 |