| NPI | 1225646482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024183112) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 278726) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-09-12 |