| NPI | 1760683742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 11974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN11974) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2026-06-09 |