| NPI | 1134112857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0001087875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024087875) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0017001440) | |
| Enumeration Date | 2005-08-28 |
| Last Update Date | 2023-03-07 |