| NPI | 1356230494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0010864) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010864) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010864) | |
| 163W00000X Registered Nurse (Licence: DE L1-0067141) | |
| 363L00000X Nurse Practitioner (Licence: DE LP-0010864) | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-10-01 |