| NPI | 1154868982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183698) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009242) |
| 163W00000X Registered Nurse (Licence: NC 253667) | |
| 163W00000X Registered Nurse (Licence: WV 108980) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 108980) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2025-01-31 |