| NPI | 1447560669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177908) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010900) |
| 163W00000X Registered Nurse (Licence: VA 0001221226) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-05-05 |