| NPI | 1235755844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26876) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-23 |