| NPI | 1891130415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024175669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5006177) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-06-26 |