| NPI | 1831753334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174847) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 101840471) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-04-28 |