| NPI | 1255050209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024185150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0001205783) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-12-13 |