| NPI | 1932401882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004980) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-03-07 |