| NPI | 1194218453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 35758) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201804478NP-PP) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201804478NP-PP) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201804478NP-PP) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-04-30 |