| NPI | 1124621586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180120) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0024180120) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: VA 0024180120) | |
| 207Y00000X Otolaryngology (Licence: VA 0024180120) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-07-21 |