| NPI | 1821708827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001317057) |
| 163W00000X Registered Nurse (Licence: GA RN297849) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-02-29 |