| NPI | 1720786312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 33504) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-10-22 |