| NPI | 1134545239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024171588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001225969) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171588) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-12-23 |