| NPI | 1073247938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 261156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32015) |
| 363L00000X Nurse Practitioner (Licence: KY 1158883) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184534) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-01-12 |