| NPI | 1861180689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000033048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33048) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2026-07-15 |