| NPI | 1669975272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP11051) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 13859) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11051) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 13859) | |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2023-10-04 |