| NPI | 1316359003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18567) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177649) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-01-21 |