| NPI | 1669165163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024187626) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-08-11 |