| NPI | 1588170815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024184917) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184917) |
| 363LF0000X Nurse Practitioner Family (Licence: WV APRN70413-FNP-BC) | |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2022-10-14 |