| NPI | 1053931253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-166885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166885) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-06-30 |