| NPI | 1710949714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168965) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0024168965) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-11-07 |