| NPI | 1033860531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001314956) |
| 163WG0000X Registered Nurse, General Practice (Licence: TN 0000257330) | |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-10-27 |