| NPI | 1588024038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001214159) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-01-19 |