| NPI | 1720475767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R41949) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-01-12 |