| NPI | 1821850264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001298677) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-07-01 |