| NPI | 1598115354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001249079) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5011045) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-04-12 |