| NPI | 1891202628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175703) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-02-01 |