| NPI | 1629162227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166505) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN00000010969) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166505) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-12-28 |