| NPI | 1720722267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001203572) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-08-10 |