| NPI | 1770888950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024182057) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14651) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2025-08-14 |