| NPI | 1285240226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-166128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL AL-166128) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-06-29 |