| NPI | 1144083320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 24192060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001280631) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-12-14 |