| NPI | 1831879469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187834) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187834) |
| 163W00000X Registered Nurse (Licence: VA 0001273040) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-12-04 |