| NPI | 1205990983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: VA 0024167218) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0024167218) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167218) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-01-29 |