| NPI | 1134668155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174331) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0024174331) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2025-03-19 |