| NPI | 1063975282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000025496) |
| 363L00000X Nurse Practitioner (Licence: VA 0017145730) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024177225) | |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2024-07-02 |