| NPI | 1881471555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001230586) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-10-12 |