| NPI | 1275298291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189004) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0024189004) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-11-26 |