| NPI | 1184314692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 116087) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-01-30 |