| NPI | 1770245508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182761) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0024182761) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-06-24 |