| NPI | 1013499862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9357385) |
| 363L00000X Nurse Practitioner (Licence: GA GAANP000043) | |
| 363L00000X Nurse Practitioner (Licence: TN 0000035358) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432586) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024183774) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-04-30 |