| NPI | 1144878323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178320) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001251719) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2021-07-15 |