| NPI | 1689640195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024166526) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN67063) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2017-02-01 |