| NPI | 1356574867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024168441) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD AC000779) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-11-27 |