| NPI | 1316475239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0000000000000000) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-01-16 |