| NPI | 1609126044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017140467) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-03-22 |