| NPI | 1891009775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 93600) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R118293) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2023-05-24 |