| NPI | 1134927296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5021853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-160107) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-28 |