| NPI | 1699001016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 350) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2021-04-20 |