| NPI | 1871526194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166936) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000006314) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-12-10 |