| NPI | 1356901037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001173248) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2024-04-27 |