| NPI | 1295432987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005182) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-03-14 |