| NPI | 1134798564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001207898) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-07-23 |