| NPI | 1033696141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176271) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2024-09-20 |