| NPI | 1588023279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174447) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-04-26 |