| NPI | 1023286010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 62864) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2023-07-07 |