| NPI | 1841546819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007162) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017144717) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175902) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2022-03-17 |