| NPI | 1558133868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28124) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 11581658-4405) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-04-27 |