| NPI | 1699044768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R158737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R158737) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 72317) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2021-08-07 |