| NPI | 1366153827 |
|---|---|
| Professional Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R255984) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95022714) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-04-01 |