| NPI | 1598059065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-139401) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-01-11 |