| NPI | 1841929148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001178165) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-10-13 |