| NPI | 1437225778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0017001282) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 00011500889) | 
| 363L00000X Nurse Practitioner (Licence: VA 0024150889) | |
| Enumeration Date | 2006-11-28 | 
| Last Update Date | 2021-06-02 |