| NPI | 1154106698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019434) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-06-26 |