| NPI | 1871634428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167379) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-07-16 |