| NPI | 1841055183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R265242) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2025-02-14 |