| NPI | 1861118473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024185752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001227599) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-04-19 |