| NPI | 1063735744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000738) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2019-06-17 |