| NPI | 1821177122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 97129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA VP004293M) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-03-17 |