| NPI | 1164447264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001229087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 207053) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-11-27 |