| NPI | 1831897883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024186561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024186561) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-06-01 |