| NPI | 1417305780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001230204) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-12-30 |