| NPI | 1033957410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024190556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001276382) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-21 |