| NPI | 1235774571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182824) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001276051) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.417855) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182824) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2022-01-18 |