| NPI | 1427787902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184243) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024184243) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-09-05 |