| NPI | 1265722532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169349) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001160317) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-11-25 |