| NPI | 1669713988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010288) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2020-09-03 |