| NPI | 1013626860 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024185676) | 
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024185676) | 
| Enumeration Date | 2022-11-21 | 
| Last Update Date | 2023-11-06 |