| NPI | 1912249921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024182844) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP9325787) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704340907) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209013843) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-09-05 |