| NPI | 1104397702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024177032) |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2022-08-11 |