| NPI | 1710598230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 3-000586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903983) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-11-02 |