| NPI | 1033292412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024164955) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017137376) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-10-26 |