| NPI | 1821412925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024191647) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2025-04-08 |