| NPI | 1316602220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 2670555) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 2670555) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 2670555) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-03-02 |