| NPI | 1609369933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012380) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-12-01 |