| NPI | 1477893618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170643) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2024-11-05 |