| NPI | 1881327849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 35341) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-01-29 |