| NPI | 1093749343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024167734) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13443) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-02-15 |