| NPI | 1407250111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN153715) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2024-06-28 |