| NPI | 1558825299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-164524) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-164524) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-11-04 |