| NPI | 1326692716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F06191745) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-11-09 |