| NPI | 1831599109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007116) |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2025-08-19 |