| NPI | 1912489097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017145130) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2022-08-15 |