| NPI | 1508199860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006518) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2022-06-13 |