| NPI | 1982330544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 34669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 26333) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-03-14 |