| NPI | 1215582549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 57122) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 57122) |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2022-11-17 |