| NPI | 1184487423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192087) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2025-02-26 |