| NPI | 1861971699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1109974) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 104145) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 25827) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 104145) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-07-19 |