| NPI | 1649527623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024170191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170191) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-08-27 |