| NPI | 1982096533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172364) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-01-26 |