| NPI | 1427055011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024166152) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024166152) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-04-17 |