| NPI | 1760623482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001180448) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0017140061) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2022-04-21 |