| NPI | 1750857496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176764) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176764) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2022-11-10 |