| NPI | 1144674821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R227564) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174624) | 
| Enumeration Date | 2016-04-19 | 
| Last Update Date | 2021-09-09 |