| NPI | 1720753783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182150) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024182150) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-04-04 |