| NPI | 1508500125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC COLV-9JJM3) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-184916) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-05-02 |