| NPI | 1023511540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001226832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001226832) |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2021-09-28 |