| NPI | 1578116851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177316) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-12-18 |