| NPI | 1689291643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024182810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9461913) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11008234) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2022-04-05 |