| NPI | 1114949369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166540) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024166540) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017325) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-01-09 |