| NPI | 1043937550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 24183221) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-11-03 |