| NPI | 1366907180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 29516) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 2018075435) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-03-22 |