| NPI | 1093272544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177173) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 207QA0505X) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 207R00000X) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2022-05-05 |