| NPI | 1275009441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176797) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60858241) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2023-01-10 |