| NPI | 1346984606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202205372NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F11210527) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-06-12 |