| NPI | 1154035384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95022321) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209025498) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |