| NPI | 1881229870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001259709) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-01-02 |