| NPI | 1962478313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R208627) |
| 363L00000X Nurse Practitioner (Licence: TN 145967) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170848) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-08-30 |