| NPI | 1275768608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001616) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2022-01-25 |