| NPI | 1245833540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180692) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001248721) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-12-22 |