| NPI | 1568611556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 59047) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-01-30 |