| NPI | 1275245581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274184) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017510) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-01-30 |