| NPI | 1407371669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09625) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS ZEEV-79YXJ9) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017759) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-01-04 |