| NPI | 1598343774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC004947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178521) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-01-30 |