| NPI | 1134593098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176193) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 1019795) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2022-05-23 |