| NPI | 1245056985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R213414) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-01-17 |