| NPI | 1487046132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 2018016968) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-139399) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2018016965) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2024-01-11 |