| NPI | 1538662556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21737) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 21737) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2024-05-07 |