| NPI | 1811421589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175061) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001221865) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-06-22 |