| NPI | 1851789606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172250) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172250) |
| 363L00000X Nurse Practitioner (Licence: VA 0024172250) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2022-12-16 |