| NPI | 1629831631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN327754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-145158-052) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-03-01 |