| NPI | 1154773083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3308832) |
| 363L00000X Nurse Practitioner (Licence: FL APRN3308832) | |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2024-02-07 |