| NPI | 1952603896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024170183) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-1307) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2021-08-26 |