| NPI | 1609452986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC003667) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-07-30 |