| NPI | 1851394589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA RN1128283) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-01-20 |