| NPI | 1205448925 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024191269) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC NP1051048) | 
| Enumeration Date | 2020-08-24 | 
| Last Update Date | 2024-10-25 |