| NPI | 1760960116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 00000000000) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2020-11-11 |