| NPI | 1912140971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 884844) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 907689) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2025-10-20 |