| NPI | 1316690225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001171140) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-10-10 |