| NPI | 1851067870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024182523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003711) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182523) | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-06-17 |