| NPI | 1881960052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024173317) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R201292) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2016-06-11 |