| NPI | 1336563279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39174) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 233338) |
| 363L00000X Nurse Practitioner (Licence: IA H155116) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP151178) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP151178) | |
| 363L00000X Nurse Practitioner (Licence: MS 901475) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP 9205781) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2025-09-15 |