| NPI | 1386015816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174819) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9289270) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-07-21 |