| NPI | 1477518496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166683) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-08-19 |