| NPI | 1417209941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187737) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-03-19 |