| NPI | 1538436092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170261) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2022-02-24 |