| NPI | 1710535091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA Rn212253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 24185330) |
| 363L00000X Nurse Practitioner (Licence: FL 11021325) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA Rn212253) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-11-15 |