| NPI | 1073561676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004287) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-04-11 |