| NPI | 1346570058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3246062) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2023-07-17 |