| NPI | 1649770116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1052530) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175584) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-07-21 |