| NPI | 1487284840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178742) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015310) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000892) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015310) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2025-01-16 |