| NPI | 1275180200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011986) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-03-07 |