| NPI | 1285107052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OK 205172) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NJ 26NR15371900) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00882300) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2021-08-23 |