| NPI | 1154736288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173307) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-02-13 |