| NPI | 1184223539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024185531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001283889) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024185531) | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2024-05-06 |