| NPI | 1992546410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033273) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-27 |