| NPI | 1336991645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA F06240272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001273249) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-06-19 |