| NPI | 1619404282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174968) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2019-10-30 |