| NPI | 1285309153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA F07210307) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-12-16 |