| NPI | 1407221518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 61048) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0996448-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177427) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV APRN67066-AGACNP-BC) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-01-17 |