| NPI | 1396390829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024177929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177929) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-12-21 |