| NPI | 1699182535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683702) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430850) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2023-09-14 |