| NPI | 1588219778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 2019045593) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-09-09 |