| NPI | 1053869875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004662) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-05-26 |