| NPI | 1477044808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176260) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001219539) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-09-11 |