| NPI | 1740230143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166917) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R127634) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-04-04 |