| NPI | 1558872663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902206) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2025-02-19 |