| NPI | 1700492873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001221296) |
| 363L00000X Nurse Practitioner (Licence: VA 0024179985) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-10-25 |