| NPI | 1841441771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171115) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R 130161) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2023-08-23 |