| NPI | 1407190705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174821) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 744971) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L161186) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2024-07-30 |