| NPI | 1194027821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001220693) |
| 163W00000X Registered Nurse (Licence: VA 470427821) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-04-12 |