| NPI | 1083334593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024185573) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-05-13 |