| NPI | 1750838884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R196858) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-09-26 |