| NPI | 1073142881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 321854) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-10-31 |