| NPI | 1184092298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172890) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VA 0024172890) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-08-11 |