| NPI | 1023631116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048190) |
| 163W00000X Registered Nurse (Licence: MD R222299) | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2021-05-20 |