| NPI | 1306257902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191188) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-05-30 |