| NPI | 1093483505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24956) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-10-27 |