| NPI | 1598563892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H184319) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H184319) |
| 363L00000X Nurse Practitioner (Licence: NE 200336) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 115871) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-06-11 |