| NPI | 1770087751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176031) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001218499) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-12-02 |