| NPI | 1629072293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN2911562) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2018-02-26 |