| NPI | 1164118626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187291) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001287194) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-06-06 |