| NPI | 1275137382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-155887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-155887) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-02-06 |