| NPI | 1942915608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186233) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024186233) |
| 207Q00000X Family Medicine (Licence: VA 0024186233) | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-03-14 |