| NPI | 1427299486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35752) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2025-09-30 |