| NPI | 1053761924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8635924-4405) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-09-20 |