| NPI | 1700401098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000045) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-05-16 |