| NPI | 1326521998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-138701) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-06-27 |