| NPI | 1417586884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001239026) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179706) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-10-26 |