| NPI | 1194207605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 5010908) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010908) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-10-23 |