| NPI | 1780233304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 0024177900) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-01-10 |