| NPI | 1588110761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 20207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20207) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-11-06 |