| NPI | 1639525975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001225320) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 23414) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-07-23 |