| NPI | 1245904838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA F07210428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024182183) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-09-13 |