| NPI | 1245645118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024171744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 25249) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-03-13 |