| NPI | 1710343199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024173052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024173052) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2022-12-28 |