| NPI | 1548391584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC000794)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1003189)  | 
| Enumeration Date | 2007-03-09 | 
| Last Update Date | 2022-05-20 |