| NPI | 1821580044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199247) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-12-03 |