| NPI | 1700403946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 125506) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2026-02-05 |