| NPI | 1154185643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190967) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001288029) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-02-08 |