| NPI | 1548891153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R197795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD 197795) |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-07-22 |