| NPI | 1114497013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176914) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024176914) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-08-08 |