| NPI | 1629126321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 143764) |
| 363L00000X Nurse Practitioner (Licence: VA 0024187900) | |
| 363L00000X Nurse Practitioner (Licence: NC 5018685) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-10-18 |