| NPI | 1124703251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902602) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 902602) |
| 363L00000X Nurse Practitioner (Licence: MS 902602) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MS 902602) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902602) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 902602) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-06-15 |