| NPI | 1396245742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 57993) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 57993) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 57993) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 57993) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 57993) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2022-07-05 |