| NPI | 1316347925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 107404) |
| 363L00000X Nurse Practitioner (Licence: MD AC004182) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-09-17 |