| NPI | 1700323847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016038303) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2024-06-11 |