| NPI | 1851084321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA F05230722) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-10-27 |