| NPI | 1508841370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024167225) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 61944) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VI pending) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4242) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2005-01389) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000011834) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-01-09 |