| NPI | 1699409441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024182491) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0024182491) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2023-09-13 |