| NPI | 1730832890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R228184) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MD CS00162) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-01-30 |