| NPI | 1669108254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184701) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-08-04 |