| NPI | 1780972349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017141743) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2019-05-07 |