| NPI | 1689117780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0001210613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001210613) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2025-04-07 |