| NPI | 1659848471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242006) |
| 363L00000X Nurse Practitioner (Licence: VA 0024176863) | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2023-11-21 |