| NPI | 1992155857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA F0616877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173750) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-05-04 |