| NPI | 1417483033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 231940) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 231940) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 231940) | |
| 163W00000X Registered Nurse (Licence: LA 119238) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-12-14 |