| NPI | 1013105840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165801) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 10728) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2022-04-11 |