| NPI | 1861894347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338950) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-09-26 |