| NPI | 1225300031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001032) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2024-07-29 |