| NPI | 1376209742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024180585) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2022-12-08 |