| NPI | 1205461498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181430) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001150606) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2024-03-06 |