| NPI | 1396350617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024179683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001260561) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-03-15 |