| NPI | 1881033306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5008039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170926) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-07-09 |