| NPI | 1497768451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164353) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-11-05 |