| NPI | 1578233318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11015392) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 11015392) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-01-13 |