| NPI | 1508333022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NV 815477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 815477) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: UT 60884914405) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NV 815477) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2019-03-15 |