| NPI | 1811296841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008814) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 209008634) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 286780) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041349028) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 748175) | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2024-05-08 |