| NPI | 1265152730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024185017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024185017) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-03-04 |