| NPI | 1013968338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3255292) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-07-07 |