| NPI | 1851050140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 846525) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2025-09-22 |