| NPI | 1477396752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 115428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 55287) |
| 163W00000X Registered Nurse (Licence: TX 953165) | |
| 163W00000X Registered Nurse (Licence: NE 92810) | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |