| NPI | 1043756745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 001217310) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-07-27 |