| NPI | 1952849507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1042750) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2023-01-11 |