| NPI | 1093034563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001184111) |
| 363L00000X Nurse Practitioner (Licence: VA 0017139719) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2024-10-17 |