| NPI | 1932105475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024180606) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022349) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-06-09 |