| NPI | 1326313701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 65971) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2023-05-24 |