| NPI | 1487435376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0024188699) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0024188699) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: VA 0024188699) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2025-10-07 |