| NPI | 1891399929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024183407) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024183407) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 221805) | |
| 363L00000X Nurse Practitioner (Licence: PA SP022075) | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-04-20 |