| NPI | 1386373264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024184786) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 001258674) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-08-22 |