| NPI | 1386206712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180677) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011967) |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2023-05-23 |