| NPI | 1740791078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001243523) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-09-28 |