| NPI | 1831147107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024112037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024112037) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-05-08 |