| NPI | 1952780447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024187419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 19487) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2024-02-29 |