| NPI | 1265826093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 225136) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 225136) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024005896) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 225136) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024005897) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-03-26 |