| NPI | 1942839634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 61340) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 828148) | |
| 363L00000X Nurse Practitioner (Licence: AZ 267253) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 26654) | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2023-04-07 |