| NPI | 1649925926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001272691) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-08-10 |