| NPI | 1154811776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 2018006933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1222722) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 21320057) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |