| NPI | 1801067848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189995) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2024-09-25 |