| NPI | 1154009173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R183361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r183361) |
| 163WA2000X Registered Nurse, Administrator (Licence: MD r183361) | |
| 163WC0400X Registered Nurse, Case Management (Licence: MD r183361) | |
| 207R00000X Internal Medicine (Licence: MD R183361) | |
| 251F00000X Home Infusion | |
| 261Q00000X Clinic/Center | |
| 305S00000X Point of Service | |
| 305S00000X Point of Service (Licence: MD r183361) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD r183361) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD r183361) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-08-06 |