| NPI | 1720626682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178113) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001208406) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2024-08-14 |