| NPI | 1356991012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177999) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-01-07 |