| NPI | 1881081677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-137109) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2021-09-10 |