| NPI | 1912441981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2888) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175676) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132369) | |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2020-08-04 |