| NPI | 1528466737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001192719) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-03-11 |