| NPI | 1245696160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19891) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-08-16 |