| NPI | 1427309855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005803) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001110) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-09-01 |