| NPI | 1528886538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024191183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001294147) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |