| NPI | 1720490386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024173116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173116) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000018429) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-08-20 |