| NPI | 1013122522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024187868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020444) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11020444) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-09-15 |