| NPI | 1659506954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001203912) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2024-02-19 |