| NPI | 1548023021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190542) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001301968) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-07-30 |