| NPI | 1407216831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 206186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173339) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-04-15 |