| NPI | 1982227724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007225) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-01-23 |