| NPI | 1184338816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185431) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0024185431) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-07-19 |