| NPI | 1003313701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190361) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0024190361) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-09-25 |