| NPI | 1710073770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 200648) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 200648) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 200648) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-10-28 |