| NPI | 1457860157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002146) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-07-10 |