| NPI | 1558728055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008326) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2019-03-01 |