| NPI | 1720349103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000015860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000161039) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-11-09 |