| NPI | 1417147877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3327562) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-08-09 |