| NPI | 1033551890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN18697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170752) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 45951) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-10-13 |