| NPI | 1013250034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R178521) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-10-31 |