| NPI | 1679765085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017137892) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-28 |