| NPI | 1346693322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024181602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN194427) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-10-20 |