| NPI | 1508289620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA L094396) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L094396) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-01-10 |