| NPI | 1053149815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP030509) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA RN707573) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-09-04 |