| NPI | 1215949953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024164961) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 00242164961) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-07-09 |