| NPI | 1154029429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 2022137914) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001227695) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-03-03 |