| NPI | 1376245118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001260600) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-06-09 |