| NPI | 1053366252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167891) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R110480) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-04-03 |