| NPI | 1306427240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024181477) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: VA 0001244575) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-09-08 |