| NPI | 1962423368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 6609) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN089429) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-03-03 |