| NPI | 1215392964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 76506) |
| 363L00000X Nurse Practitioner (Licence: GA 224319) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN224319) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2025-05-21 |