| NPI | 1356969273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001219731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F06202594) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-04-20 |