| NPI | 1568979748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181358) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MO 2015024036) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-02-10 |