| NPI | 1144376609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9497687) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9497687) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 581126) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-05-26 |