| NPI | 1649615758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R198060) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024174816) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2021-03-04 |