| NPI | 1255696381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170096) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2024-03-01 |