| NPI | 1285160556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9494038) |
| 363L00000X Nurse Practitioner (Licence: CA NP95013779) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-08-24 |