| NPI | 1639537558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024179487) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024179487) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2025-04-11 |