| NPI | 1699516500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35017) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-09-25 |