| NPI | 1639406317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173673) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001098727) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2023-03-07 |