| NPI | 1386671121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 843-361-4045) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024164056) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-11-04 |