| NPI | 1720745508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30727) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 2021116760) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-03-29 |