| NPI | 1346729985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F08180547) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0001230993) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-07-14 |