| NPI | 1003465865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA F08191103) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001226555) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-10-19 |