| NPI | 1720094261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024183285) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC APN2452) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5002184) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-01-19 |