| NPI | 1225480528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193242) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-06-09 |