| NPI | 1306595335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 240958) |
| 363L00000X Nurse Practitioner (Licence: NC 5015985) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024184233) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184233) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-02-06 |