| NPI | 1912483512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024179353) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R219508) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2025-04-22 |