| NPI | 1548638356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21298) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-04-12 |