| NPI | 1275081655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024177808) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001244626) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-11-27 |