| NPI | 1801983945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7356) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7356) | 
| Enumeration Date | 2006-10-09 | 
| Last Update Date | 2025-03-24 |