| NPI | 1861980724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9343863) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM 65649) |
| 363L00000X Nurse Practitioner (Licence: NM 65649) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9343863) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-01-09 |