| NPI | 1326765405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024186234) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0001222476) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2024-12-10 |