| NPI | 1427681899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024187445) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-11-09 |