| NPI | 1457949521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0001232849) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-08-17 |