| NPI | 1801359450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177422) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-11-18 |