| NPI | 1578031340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32563) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2563) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-08-19 |