| NPI | 1811592215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001180924) |
| 163W00000X Registered Nurse (Licence: HI 110496-0) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185104) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11022009) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-02-24 |