| NPI | 1336638345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001236172) |
| 363L00000X Nurse Practitioner (Licence: NY 432000) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024176164) | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2021-12-09 |