| NPI | 1144076001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190054) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0024190054) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-07-23 |