| NPI | 1124486626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001239878) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 21296) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2024-08-20 |