| NPI | 1558834853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177010) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001224788) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-02-07 |