| NPI | 1457846040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26836) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012461) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-06-03 |