| NPI | 1285994798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013528) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 6384) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013528) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5013528) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2024-03-19 |