| NPI | 1669131645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182153) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: VA 0024182153) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-04-07 |