| NPI | 1003542648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185380) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001235221) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-10-26 |