| NPI | 1346470770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 17516.1002) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WY 17516-1002) |
| 163WE0003X Registered Nurse, Emergency (Licence: WY 17516-1002) | |
| 363L00000X Nurse Practitioner (Licence: WY 17516.1002) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 17516-1002) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WY 17516.1002) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-08-02 |