| NPI | 1669568622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024167517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 24167517) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-11-22 |