| NPI | 1215074935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001110064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164622) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC000635) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-06-08 |