| NPI | 1770176851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009015) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-08-18 |