| NPI | 1376910570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001304313) |
| 163W00000X Registered Nurse (Licence: MO 2016035044) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 20326) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016013952) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-10-10 |