| NPI | 1235452632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024164840) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2024-08-14 |