| NPI | 1750634770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024170401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN261444) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2022-08-04 |