| NPI | 1841413762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024165920) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-09-12 |