| NPI | 1740654458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000020645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039318) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2025-10-27 |