| NPI | 1427646306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024180652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3015464) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |