| NPI | 1821527516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001215627) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-05-25 |