| NPI | 1073000816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175910) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC WYNE-WLK81) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-09-19 |