| NPI | 1114378106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013462) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-11-06 |