| NPI | 1013540319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8728) |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2023-10-09 |