| NPI | 1437676491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN235981) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-12-29 |