| NPI | 1235863119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0997761-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP003831) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-10-13 |