| NPI | 1801444377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001171944) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-02-22 |