| NPI | 1033626361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024174684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0017143827) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-09-20 |