| NPI | 1326593252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9201480) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 9201480) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9201480) | |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2023-06-08 |