| NPI | 1912129842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024111405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R208359) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-07-21 |