| NPI | 1598418915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001222361) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-09-16 |