| NPI | 1255819298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN299005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024186196) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-02-12 |