| NPI | 1922499409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28467) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2025-04-16 |