| NPI | 1649000951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024190871) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |