| NPI | 1013307362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024172264) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0024172264) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024172264) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-03-08 |