| NPI | 1598327330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001195632) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177989) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-11-12 |