| NPI | 1114708732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN304216) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-02-22 |