| NPI | 1447850433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184593) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: VA 0001270110) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2023-09-29 |