| NPI | 1356936777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 26737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN201492) |
| 363L00000X Nurse Practitioner (Licence: GA RN201492) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-01-19 |