| NPI | 1568010478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 239220) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC003360) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-06-14 |