| NPI | 1750779559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024172054) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2023-04-27 |