| NPI | 1316486012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP017210) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2020-12-29 |