| NPI | 1417387101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18564) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2297829) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-07-21 |