| NPI | 1821424672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 061464-23) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-11-27 |