| NPI | 1184758567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0001150013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024166122) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-07-29 |