| NPI | 1760035810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 24906) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2021-03-11 |