| NPI | 1780337162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180584) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-03-05 |