| NPI | 1427698950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN281096) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-04-21 |