| NPI | 1609427350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 103775) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-09-11 |