| NPI | 1760126403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001266174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186414) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-02-21 |