| NPI | 1598216426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC 1026625) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2023-08-10 |