| NPI | 1447805510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178157) |
| 163W00000X Registered Nurse (Licence: VA 0001261003) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-09-12 |