| NPI | 1104534924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024185790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001268231) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-05-03 |