| NPI | 1013514686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014275) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 208624) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-09-14 |