| NPI | 1851817175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175430) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA F06171632) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-10-03 |