| NPI | 1285099440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9298859) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 9298859) |
| 281P00000X Chronic Disease Hospital (Licence: FL 9298859) | |
| 282N00000X General Acute Care Hospital (Licence: FL 9298859) | |
| 363L00000X Nurse Practitioner (Licence: NM 69749) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-06-15 |