| NPI | 1801031828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024175698) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP010905) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2018-03-17 |