| NPI | 1710338546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA 0024173643) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-07-22 |