| NPI | 1548842750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R41839) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-02-02 |