| NPI | 1720545452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 20190006493) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-08-21 |