| NPI | 1780107383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432393-01) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA VA-0001239292) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176743) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-07-31 |