| NPI | 1164937579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R196537) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV APRN101231) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2021-03-07 |