| NPI | 1679097133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024174064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5016253) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-25 |