| NPI | 1871866830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 810491) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2026-08-11 |