| NPI | 1710474788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024178829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9371272) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-09-04 |