| NPI | 1801766936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 908088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 40445) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-02-18 |