| NPI | 1063922086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001215064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001215064) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0001215064) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-06-17 |