| NPI | 1578159877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904116) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28031) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2021-01-21 |