| NPI | 1376386516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191346) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: DE L1-0071057) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-09-30 |