| NPI | 1518188614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R133350) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN967986) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024167227) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 715923) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-08-23 |