| NPI | 1396294906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242237) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2023-03-20 |