| NPI | 1558131300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NV 872396) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NV 872396) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NV 872396) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-04-25 |