| NPI | 1447957659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186331) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0024186331) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-11-21 |