| NPI | 1700401908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 213735) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 213735) |
| 363L00000X Nurse Practitioner (Licence: LA 213735) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-04-14 |