| NPI | 1922479302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116041602) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME180306) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3249952) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2026-06-05 |