| NPI | 1770634313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164229) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017137156) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-02-26 |