| NPI | 1174132344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003274) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-03-26 |