| NPI | 1306990296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD ac000371) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-11-18 |