| NPI | 1225565021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024185744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017382) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-04-29 |