| NPI | 1801876511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024165698) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0017137812) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0001120491) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-06-23 |