| NPI | 1710507579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022080) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-12-28 |