| NPI | 1518415389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178892) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8964) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC003583) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-03-28 |