| NPI | 1578949913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R884247) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R884247) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R884247) | |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2024-04-16 |