| NPI | 1639802978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114265) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 2230) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-10-31 |