| NPI | 1942950050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184093) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001164576) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-04-05 |