| NPI | 1902527278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024184055) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA AG11210105) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |