| NPI | 1194238071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175577) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-05-17 |