| NPI | 1649030495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR 2227679) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AR R66159) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |