| NPI | 1184889115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175760) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2026-01-05 |