| NPI | 1023368271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017140682) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001447) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2023-05-25 |