| NPI | 1699366815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180869) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2022-03-02 |