| NPI | 1083247555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179039) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA pending) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2022-08-05 |