| NPI | 1841881620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024182881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014038) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014038) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-03-01 |