| NPI | 1497786933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001449) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 3515178900) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: UT 3515174405) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-07 |