| NPI | 1811433469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174389) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174389) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174389) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2023-10-18 |