| NPI | 1063069979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 231068) |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2025-03-03 |