| NPI | 1467021816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024186462) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1051347) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-08-09 |