| NPI | 1831736560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22735) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-12-05 |