| NPI | 1740875475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001259757) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-10-30 |