| NPI | 1629478730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 132796) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2024-03-12 |