| NPI | 1407385172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA F03170337) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-12-09 |