| NPI | 1326439993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014582) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2020-06-18 |