| NPI | 1316356728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171862) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171862) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-10-27 |