| NPI | 1770858367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024170023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170023) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2023-02-08 |