| NPI | 1346911781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113823) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113823) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-09-07 |