| NPI | 1194332882 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024179700) | 
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0024179700) | 
| Enumeration Date | 2020-09-26 | 
| Last Update Date | 2023-08-07 |