| NPI | 1518545888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024186152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 901370) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-03-28 |