| NPI | 1871599464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164317) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: VA 0024164317) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-12-08 |