| NPI | 1043916265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186731) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002068987) |
| 163W00000X Registered Nurse (Licence: VA 000124986) | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-06-15 |