| NPI | 1457340598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017000636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21969) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-01-28 |