| NPI | 1225287865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000157) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-05-05 |