| NPI | 1720694516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28043) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-10-10 |