| NPI | 1295065688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010956) |
| 363L00000X Nurse Practitioner (Licence: VA 0024184082) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-06-17 |