| NPI | 1538921093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189330) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024189330) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024189330) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-04-29 |