| NPI | 1558453720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024165542) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9382948) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-12-03 |