| NPI | 1558978098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186362) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 218297) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 249198) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-09-02 |