| NPI | 1649963778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187483) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001274054) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-07-06 |