| NPI | 1033522859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177389) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013196) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN267871) | |
| Enumeration Date | 2014-06-09 | 
| Last Update Date | 2023-08-15 |