| NPI | 1457122673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187985) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0024187985) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-16 |