| NPI | 1598450678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001304447) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-01-02 |