| NPI | 1386166411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183941) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A005246) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-01-23 |