| NPI | 1699115998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024171964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 79781) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9365378) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-11-27 |