| NPI | 1902253453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180506) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC001581) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2021-02-11 |