| NPI | 1952726739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN-TP 18720) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2022-10-07 |