| NPI | 1073025730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP001129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-148591) |
| 363L00000X Nurse Practitioner (Licence: WI 13711-33) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2024-01-31 |