| NPI | 1306240833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174498) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC002055) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2021-03-10 |