| NPI | 1124644232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001240964) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024179676) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-02-02 |