| NPI | 1063950723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9307765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177664) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-07-25 |