| NPI | 1326699687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178291) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 280088) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-09-28 |