| NPI | 1619532611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017145220) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-12-23 |