| NPI | 1679061279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10006876) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 792834) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2024-05-08 |