| NPI | 1740964840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H174756) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA 144780) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-02-26 |