| NPI | 1699547117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197383) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001281072) |
| 171400000X Health & Wellness Coach (Licence: VA A-3875172) | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2026-05-18 |