| NPI | 1285028522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021183) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 338882) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0904017466) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-12-19 |