| NPI | 1669886396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024189672) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0024189672) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2328892) | |
| 163W00000X Registered Nurse (Licence: MA RN2328892) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2025-01-24 |