| NPI | 1194902452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024188414) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13204) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-12-15 |