| NPI | 1336322676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169991) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9179453) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2023-06-12 |