| NPI | 1457313900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166338) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0017138217) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-02-22 |