| NPI | 1831629922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R240614) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2021-04-21 |