| NPI | 1336532035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181152) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC 123) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2021-07-28 |