| NPI | 1649013327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024188470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024188470) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-08-30 |