| NPI | 1316353279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024171720) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2025-07-31 |