| NPI | 1306371646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112166) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-05-02 |