| NPI | 1265188940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 656244) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11018472) | |
| 363L00000X Nurse Practitioner (Licence: CA 95027262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL RN9332905) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-02-29 |