| NPI | 1912432774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002759) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 245402) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011548) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0105692-C-NP) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2026-01-28 |