| NPI | 1316607872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 812784) |
| Enumeration Date | 2021-12-26 |
| Last Update Date | 2024-04-26 |