| NPI | 1629511993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR ATP-001048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005065) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2019-10-31 |