| NPI | 1306605423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189687) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024189687) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-07-09 |