| NPI | 1548762701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010337) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-05-06 |