| NPI | 1912761818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001323067) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-06-23 |