| NPI | 1619381340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-127404) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AL 1-127404) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2025-06-11 |