| NPI | 1265615041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169082) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169082) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169082) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2021-11-10 |