| NPI | 1942453477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25688) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 200450) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 81793-5630) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 645982) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-08-14 |