| NPI | 1407332406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005727) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 8610) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019023249) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 8610) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005727) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019023248) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-01-28 |