| NPI | 1053076554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024189006) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2000319019) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-01-15 |