| NPI | 1750721726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9309474) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN217450) | |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2024-05-13 |