| NPI | 1043728272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001231538) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-08-04 |