| NPI | 1437757960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181204) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024181204) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN AG10200024) | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2022-08-25 |