| NPI | 1366843245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024189947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP014177) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-07-22 |