| NPI | 1982722153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024188808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9447515) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9447515) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R135884) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-05-24 |