| NPI | 1376934455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024172351) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024172351) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024172351) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-01-22 |