| NPI | 1427616861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180488) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-141988) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2021-05-25 |