| NPI | 1821470246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212817) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-04-22 |