| NPI | 1508425463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002784) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020731) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-05-22 |