| NPI | 1053849679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174838) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2021-09-24 |