| NPI | 1083183057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176937) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: VA 0024176937) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-06-27 |