| NPI | 1801501945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 223474) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-03-31 |