| NPI | 1033530209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18206) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2024-09-25 |