| NPI | 1720459407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024174680) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5008069) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-07-21 |