| NPI | 1497259329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175994) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 12029569-4405) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175994) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-04-09 |