| NPI | 1609026392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181392) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 521228) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-12-21 |